Universal HealthcareBy NextBestFit
Phase 4: Wave 4: everyone · Step 4.4

Coordinate with continuing payers: workers' comp, auto, VA, TRICARE, IHS

Years 1–4 · UHA; state workers' comp agencies & insurance regulators; VA; Defense Health Agency; IHS & tribesDiscuss this step
← All costs for this step

VA, DoD, CHIP (federal), IHS and other federal programs

The VA and military health systems continue as direct-care systems. CHIP funding transfers into UHP. The Indian Health Service continues, with UHP paying for its patients' care.

Result
$306.8B
$306.8B → $306.8B
Per resident, per year
$899
÷ 341.1M people
Per household
$2,321
÷ 132.2M households

How it's calculated

#StepArithmeticValue
1
2024 amount (CMS NHE Tables 5-1 to 5-4)
Sources: CMS Office of the Actuary (2025)
$306.8B
2
Treatment: continues
$0.0B
3
Under the plan
$306.8B
Trade-off: Continues as before.
Sources: CMS Office of the Actuary (2025)